# MICHIGAN TECHNOLOGY PARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174966311
- **Authorized official:** JAMES VIRGILIO (PRESIDENT)
- **Authorized official phone:** (313) 427-0020

## Contact information

- **Practice address:** 15201 CENTURY DR, SUITE 606, DEARBORN, MI 48120-1232
- **Practice address phone:** (313) 427-0020
- **Practice address fax:** (313) 731-0422
- **Mailing address:** PO BOX 970, BIRMINGHAM, MI 48012-0970
- **Mailing address phone:** (313) 427-0020
- **Mailing address fax:** (313) 731-0422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | MI | Yes |

## Other

- **Enumeration date:** 04/08/2013
- **Last updated:** 04/11/2013